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The association between nurse continuity and hypospadias repair patient outcomes: A retrospective study

 Yoonhye Ji  ;  Eun Kyoung Choi  ;  Sang Won Han 
 JOURNAL OF ADVANCED NURSING, Vol.79(9) : 3513-3521, 2023-09 
Journal Title
Issue Date
Hospitalization ; Humans ; Hypospadias* / surgery ; Male ; Nursing Staff, Hospital* ; Personnel Staffing and Scheduling ; Retrospective Studies
continuity of patient care ; health care ; hospitals ; hypospadias ; nurse ; nursing staff ; outcome assessment ; personnel staffing and scheduling ; retrospective studies
Background: Recently, nurse continuity, the intensity and consistency of a patient's exposure to nurses during hospitalization, has been shown to be associated with patient outcomes. However, little is known about how nurse continuity is related to patients' surgical outcomes.

Aims: To examine the association between nurse continuity and outcomes of hypospadias repair to clarify the importance of nurse continuity as a nursing practice.

Design: This is a retrospective study.

Methods: We analysed the data from electronic health records of patients under 1 year who had undergone proximal hypospadias repair between January 2014 and December 2016. Nurse continuity was measured using the Continuity of Care Index. Since approximately half of the patients reportedly needed further operations in the long term, the primary outcome was whether patients with proximal hypospadias repair had two or more additional operations within 3 years of discharge.

Results: The rate of undergoing two or more follow-up operations in 3 years was significantly higher in patients with low nurse continuity-38.6% versus 12.8% for high continuity.

Conclusion: This study identified nurse continuity as an important factor related to patients' surgical outcomes. These findings suggest that nurse continuity be considered an important nursing strategy for patient outcomes and further research is needed on this topic.

Impact statement: As empirical evidence regarding the association between nurse continuity and patient outcomes grows, nurse managers and policymakers should view nurse continuity as a critical factor for positive patient outcomes when considering nursing workforce regulations.

No patient or public contribution: The data for this study were obtained from electronic health records, and the entire process of this study did not involve patient or public participation.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
Yonsei Authors
Choi, Eun Kyoung(최은경) ORCID logo https://orcid.org/0000-0003-4622-2437
Han, Sang Won(한상원) ORCID logo https://orcid.org/0000-0003-0941-1300
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